Cybertherapy is generally not considered a complete substitute for face-to-face sessions; however, it provides immediate assistance where help is not close by or when in-person visits are not possible. The delivery methods are interactive text chat, email, video calling and voice over IP (VoIP). However, if video calling is the medium and a high-quality connection is used at both ends, cybertherapy with a qualified professional can be very effective. For a list of cybertherapy sites, visit www.metanoia.org.